One particular update that has been offered to the Declaration is the idea that health care is available to all. This stresses the world's opinion that health care should be a right, not a privilege. In the modern setting, the role of health care accessibility in rich and poor nations has occupied central importance. Developing nations as well as established nations such as America are openly debating the accessibility of health care and the role of centralized authority in this pursuit. Another inclusion that nations across the world have pledged their unity in addressing is the combating of HIV/ AIDS. A modern inclusion to the Declaration is waging a full commitment to stopping the spread of HIV/ AIDS around the world. As greater globalization takes hold, the need to see this disease as something that exists without borders and ideologies becomes critical. In both of these, one can see that the modern vision of the Ala- Ata Declaration is one in which accessibility of health care as well as fighting specific diseases like HIV/ AIDS have been attempts to modernize the Declaration, bringing it into the present tense.